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Srikar Kommmareddy
Student in an Organized Health Care Education/Training Program in Wildwood, Missouri
NPI 1770259954

Srikar Kommmareddy is a Student in an Organized Health Care Education/Training Program based in Wildwood, MO. Srikar Kommmareddy practices in Wildwood, MO. The NPI Number for Srikar Kommmareddy is 1770259954 and holds a License No. (Missouri).

The current practice location address for Srikar Kommmareddy is 17676 Westhampton Woods Dr, Wildwood, MO and can be reached out via phone at 314-856-8041.

Location: 17676 Westhampton Woods Dr, Wildwood, MO, 63005-6332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770259954
Provider Name
Srikar Kommmareddy
Credential
Provider Entity Type
Individual
Gender
Male
Address
17676 Westhampton Woods Dr, Wildwood, MO, 63005-6332
Phone Number
314-856-8041
Fax Number
Provider Enumeration Date
08/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17676 Westhampton Woods Dr
City
Wildwood
State
Missouri
Zip
63005-6332
Phone Number
314-856-8041
Fax Number
person
Provider Business Mailing Address Details
Address
17676 Westhampton Woods Dr
City
Wildwood
State
Missouri
Zip
63005-6332
Phone Number
314-856-8041
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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